Stent-ception: implementation of soft double-J stents in the ureteric Memokath-051^TM in bilateral ureteric stricture post radiotherapy for advanced prostate cancer

Narrowing of ureter can be due to malignant or benign causes. Temporary double-J (DJ) stents, various metallic stent designs, or definitive corrective surgery can be the options management for ureteric stricture. As an alternative from DJ stents, Memokath-051^TM (MMK-051^TM) can be inserted in strictured ureters post radiotherapy for advanced prostate cancer patients. We present a case of an advanced prostate cancer which bilateral DJ Stents placed within MMK-051^TM. A 76-year-old man with underlying hormone sensitive advanced prostate cancer completed radiotherapy. Post radiotherapy he developed bilateral ureteric strictures  and bilateral DJ stents  inserted.  He had to underwent multiple change of stents due to blockage. Patient had MMK-051^TM inserted, however complicated with blockage due to encrustation. Improvisation method done by putting the bilateral DJ stents within the MMK-051^TM. Patient had no more blockage of MMK-051^TM after the placement of DJ stents within it. However, patient succumbed to death a year after the last procedure. Our case report highlighted encrustation of metallic ureteric stents and a novel approach to overcome this problem. Introduction  of additional DJ stents  not only reduced the incidence of MMK-051^TM blockage but also improved the quality of life of the patient.